AMOSKEAG HEALTH: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- AMOSKEAG HEALTH (EIN 02-0458174)
- Tax period
- 2010-07-01 to 2011-06-30
- Filed
- 2011-12-09
- IRS object ID
- 201103439349300515
- Schema version
- 2010v3.4
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-12-09T12:32:42-06:00 | Timestamp |
| Tax Period End Date | 2011-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BRAD BORBIDGE PA | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 197 LOUDON ROAD STE 350 | AddressLine1 |
| City | CONCORD | City |
| State | NH | State |
| ZIP Code | 03301 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 020458174 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MANCHESTER COMMUNITY HEALTH CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | MANC | NameControl |
| Phone | 6036269500 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 145 HOLLIS STREET 2ND FLOOR | AddressLine1 |
| City | MANCHESTER | City |
| State | NH | State |
| ZIP Code | 03101 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | EDWARD GEORGE | Name |
| Title | CHIEF EXECUTIVE OFFICER | Title |
| Phone | 6036269500 | Phone |
| Date Signed | 2011-11-25 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DIMITRIOS PANACOPOULOS CPA | Name |
| Phone | 6032240849 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | EDWARD GEORGE | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 145 HOLLIS STREET 2ND FLOOR | AddressLine1 |
| City | MANCHESTER | City |
| State | NH | State |
| ZIP Code | 03101 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 5025323 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.MCHC-NH.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1992 | YearFormation |
| State Legal Domicile | NH | StateLegalDomicile |
| Activity Or Mission Description | THE MISSION OF MANCHESTER COMMUNITY HEALTH CENTER IS TO FOSTER, BOTH THROUGH DIRECT SERVICES AND COLLABORATION, HIGH-QUALITY, COMPREHENSIVE FAMILY ORIENTED PRIMARY HEALTH-CARE SERVICES, WHICH MEET THE NEEDS OF A DIVERSE COMMUNITY REGARDLESS OF AGE, ETHNICITY OR INCOME. OUR FOCUS IS TO PROVIDE ACCESS TO THOSE WHO CANNOT ACCESS PRIMARY HEALTH CARE SERVICES. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 17 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 17 | NbrIndependentVotingMembers |
| Total Nbr Employees | 77 | TotalNbrEmployees |
| Total Nbr Volunteers | 12 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 2312308 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 2298960 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 2844277 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 2721545 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 7898 | InvestmentIncomePriorYear |
| Investment Income Current Year | 4818 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 5164483 | TotalRevenuePriorYear |
| Total Revenue Current Year | 5025323 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 3352805 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 3882936 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 65812 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 1333620 | OtherExpensePriorYear |
| Other Expenses Current Year | 1588042 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 4686425 | TotalExpensesPriorYear |
| Total Expenses Current Year | 5470978 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 478058 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -445655 | RevenuesLessExpensesCY |
| Total Assets BOY | 5387805 | TotalAssetsBOY |
| Total Assets EOY | 4743590 | TotalAssetsEOY |
| Total Liabilities BOY | 2118523 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 1900581 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 3269282 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 2843009 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | THE MISSION OF MANCHESTER COMMUNITY HEALTH CENTER IS TO FOSTER, BOTH THROUGH DIRECT SERVICES AND COLLABORATION, HIGH-QUALITY, COMPREHENSIVE FAMILY ORIENTED PRIMARY HEALTH-CARE SERVICES, WHICH MEET THE NEEDS OF A DIVERSE COMMUNITY REGARDLESS OF AGE, ETHNICITY OR INCOME. OUR FOCUS IS TO PROVIDE ACCESS TO THOSE WHO CANNOT ACCESS PRIMARY HEALTH CARE SERVICES. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 4015273 | Expense |
| Revenue | 2721545 | Revenue |
| Description | TO PROVIDE PRIMARY OUTPATIENT MEDICAL CARE, COUNSELING SERVICES AND NUTRITIONAL CONSULTATION TO INDIVIDUALS IN THE MANCHESTER NH AREA. | Description |
| Total Program Service Expense | 4015273 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 0 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 27 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 77 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 17 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 17 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | NH | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EDWARD GEORGE | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 6036269500 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 145 HOLLIS STREET 2ND FLOOR | AddressLine1 |
| City | MANCHESTER | City |
| State | NH | State |
| ZIP Code | 03101 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (23 entries)
| TitleTitle | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Average Hours Per WeekAverageHoursPerWeek | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| JAMES BURNETT | ||||||||
| CHAIRPERSON | X | 0 | 0 | 0 | ||||
| ANTHONY CHISMARK | ||||||||
| TREASURER | X | 0 | 0 | 0 | ||||
| CAROLE O'KEEFE | ||||||||
| SECRETARY | X | 0 | 0 | 0 | ||||
| HELEN MAURIZIO | ||||||||
| BOARD OF DIRECTORS | X | 0 | 0 | 0 | ||||
| MYRA NIXON | ||||||||
| BOARD OF DIRECTORS | X | 0 | 0 | 0 | ||||
| ELIZABETH CLEARY | ||||||||
| BOARD OF DIRECTORS | X | 0 | 0 | 0 | ||||
| NANCY LOISELLE | ||||||||
| BOARD OF DIRECTORS | X | 0 | 0 | 0 | ||||
| JEFFREY MICHAELSON | ||||||||
| BOARD OF DIRECTORS | X | 0 | 0 | 0 | ||||
| MARIA MARIANO | ||||||||
| BOARD OF DIRECTORS | X | 0 | 0 | 0 | ||||
| MUKHTAR IDHOW | ||||||||
| BOARD OF DIRECTORS | X | 0 | 0 | 0 | ||||
| GERMANO MARTINS | ||||||||
| BOARD OF DIRECTORS | X | 0 | 0 | 0 | ||||
| KATHLEEN PROULX | ||||||||
| BOARD OF DIRECTORS | X | 0 | 0 | 0 | ||||
| GERRI PROVOST | ||||||||
| BOARD OF DIRECTORS | X | 0 | 0 | 0 | ||||
| DOMINIQUE RUST | ||||||||
| BOARD OF DIRECTORS | X | 0 | 0 | 0 | ||||
| SONIA STAGEN | ||||||||
| BOARD OF DIRECTORS | X | 0 | 0 | 0 | ||||
| GLORIA YOUNG | ||||||||
| BOARD OF DIRECTORS | X | 0 | 0 | 0 | ||||
| TONI PAPPAS | ||||||||
| BOARD OF DIRECTORS | X | 0 | 0 | 0 | ||||
| EDWARD GEORGE | ||||||||
| CEO/PRESIDENT | 139811 | 0 | 15362 | 40.00 | X | |||
| ANN-MARIE MILLER | ||||||||
| CFO | 73203 | 0 | 8669 | 40.00 | X | |||
| J GAVIN MUIR MD | ||||||||
| MEDICAL DIRECTOR | 202166 | 0 | 15000 | 40.00 | X | |||
| LAURA FRY MD | ||||||||
| PHYSICIAN | 180284 | 0 | 12007 | 40.00 | X | |||
| PETER KIPROP | ||||||||
| PHYSICIAN | 153159 | 0 | 13619 | 40.00 | X | |||
| FADI WEHBI | ||||||||
| PHYSICIAN | 148599 | 0 | 10579 | 40.00 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 897222 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 75236 | TotalOtherCompensation |
| Number Individuals GT100 K | 5 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| Government Grants | 2245804 | GovernmentGrants |
| All Other Contributions | 53156 | AllOtherContributions |
| Total Contributions | 2298960 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | PRIMARY MEDICAL CARE S | Description |
| Business Code | 621110 | BusinessCode |
| Total Revenue Column | 2721545 | TotalRevenueColumn |
| Related Or Exempt Function Income | 2721545 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 2721545 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 4818 | TotalRevenueColumn |
| Exclusion | $4,818 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 5025323 | TotalRevenueColumn |
| Related Or Exempt Function Income | 2721545 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $4,818 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 454211 | Total |
| Program Services | 217166 | ProgramServices |
| Management And General | 237045 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2879420 | Total |
| Program Services | 2202705 | ProgramServices |
| Management And General | 628931 | ManagementAndGeneral |
| Fundraising | 47784 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 285737 | Total |
| Program Services | 208559 | ProgramServices |
| Management And General | 73035 | ManagementAndGeneral |
| Fundraising | 4143 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 263568 | Total |
| Program Services | 192378 | ProgramServices |
| Management And General | 67368 | ManagementAndGeneral |
| Fundraising | 3822 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17952 | Total |
| Management And General | 17952 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 31667 | Total |
| Management And General | 31667 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 482431 | Total |
| Program Services | 352126 | ProgramServices |
| Management And General | 130305 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12626 | Total |
| Management And General | 12626 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 38075 | Total |
| Program Services | 27791 | ProgramServices |
| Management And General | 9732 | ManagementAndGeneral |
| Fundraising | 552 | Fundraising |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 158897 | Total |
| Program Services | 115979 | ProgramServices |
| Management And General | 40614 | ManagementAndGeneral |
| Fundraising | 2304 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5339 | Total |
| Program Services | 894 | ProgramServices |
| Management And General | 4445 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 26034 | Total |
| Program Services | 16904 | ProgramServices |
| Management And General | 9130 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 72563 | Total |
| Program Services | 52964 | ProgramServices |
| Management And General | 18547 | ManagementAndGeneral |
| Fundraising | 1052 | Fundraising |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 170261 | Total |
| Program Services | 124274 | ProgramServices |
| Management And General | 43518 | ManagementAndGeneral |
| Fundraising | 2469 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 31416 | Total |
| Program Services | 22931 | ProgramServices |
| Management And General | 8029 | ManagementAndGeneral |
| Fundraising | 456 | Fundraising |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| PROGRAM SUPPLIES | 168532 | 168532 | ||
| BAD DEBTS | 149446 | 149446 | ||
| OTHER EXPENSES | 84295 | 61527 | 21546 | 1222 |
| PRINTING AND PUBLICATIO | 65022 | 47460 | 16619 | 943 |
| EQUIPMENT RENTAL/REPAIR | 29889 | 21816 | 7640 | 433 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 43597 | Total |
| Program Services | 31821 | ProgramServices |
| Management And General | 11144 | ManagementAndGeneral |
| Fundraising | 632 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5470978 | Total |
| Program Services | 4015273 | ProgramServices |
| Management And General | 1389893 | ManagementAndGeneral |
| Fundraising | 65812 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 445786 | BOY |
| EOY | 42014 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 298845 | BOY |
| EOY | 503580 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 237894 | BOY |
| EOY | 323558 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 208849 | BOY |
| EOY | 68178 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 3622245 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 615023 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2939124 | BOY |
| EOY | 3007222 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 442062 | BOY |
| EOY | 442971 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 815245 | BOY |
| EOY | 356067 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5387805 | BOY |
| EOY | 4743590 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 543975 | BOY |
| EOY | 381611 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1574548 | BOY |
| EOY | 1518970 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2118523 | BOY |
| EOY | 1900581 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2562783 | BOY |
| EOY | 2421290 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 706499 | BOY |
| EOY | 421719 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3269282 | BOY |
| EOY | 2843009 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5387805 | BOY |
| EOY | 4743590 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -445655 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 19382 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 81000 | OtherCostOrOtherBasis |
| Book Value | 81000 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2680810 | OtherCostOrOtherBasis |
| Depreciation | 210567 | Depreciation |
| Book Value | 2470243 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 860435 | OtherCostOrOtherBasis |
| Depreciation | 404456 | Depreciation |
| Book Value | 455979 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 3007222 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (2 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| ASSETS LIMITED AS TO USE | 181638 |
| DUE FROM THIRD PARTY PAYERS | 174429 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 356067 | TotalBookValueOtherAssets |
| Total Revenue | 5025323 | TotalRevenue |
| Total Expenses | 5470978 | TotalExpenses |
| Excess Or Deficit For Year | -445655 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 19382 | NetUnrealizedGLOnInvestments |
| Total Adjustments | 19382 | TotalAdjustments |
| Excess Or Deficit Per FS | -426273 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 5044705 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 19382 | NetUnrealizedGainsInvestments |
| Revenue Not Rptd F990 | 19382 | RevenueNotRptdF990 |
| Revenue Subtotal | 5025323 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 5025323 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 5470978 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 5470978 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 5470978 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | THE HEALTH CENTER IS A PUBLIC CHARITY UNDER SECTION 501 (C)(3) OF THE INTERNAL REVENUE CODE. AS A PUBLIC CHARITY, THE HEALTH CENTER IS EXEMPT FROM STATE AND FEDERAL INCOME TAXES ON INCOME EARNED IN ACCORDANCE WITH ITS TAX EXEMPT PURPOSE. UNRELATED BUSINESS INCOME IS SUBJECT TO STATE AND FEDERAL INCOME TAX. MANAGEMENT HAS EVALUATED THE HEALTH CENTERS TAX POSITIONS AND CONCLUDED THAT THE HEALTH CENTER HAS NO UNRELATED BUSINESS INCOME OR UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantiation Required | 1 | SubstantiationRequired |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 1 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (5 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| EDWARD GEORGE | |||||||||||||
| 139811 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 15362 | 0 | 155173 | 0 | 0 | 0 |
| J GAVIN MUIR MD | |||||||||||||
| 168755 | 0 | 0 | 0 | 33411 | 0 | 0 | 0 | 15000 | 0 | 217166 | 0 | 0 | 0 |
| LAURA FRY MD | |||||||||||||
| 141154 | 0 | 0 | 0 | 39130 | 0 | 0 | 0 | 12007 | 0 | 192291 | 0 | 0 | 0 |
| PETER KIPROP | |||||||||||||
| 120054 | 0 | 0 | 0 | 33105 | 0 | 0 | 0 | 13619 | 0 | 166778 | 0 | 0 | 0 |
| FADI WEHBI | |||||||||||||
| 126394 | 0 | 0 | 0 | 22205 | 0 | 0 | 0 | 10579 | 0 | 159178 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | PART I, LINE 7 | ReturnReference |
| Explanation | PHYSICIANS ARE ELIGIBLE TO PARTICIPATE IN THE INCENTIVIZED VARIABLE COMPENSATION PLAN, WHICH PROVIDES FOR VARIABLE PAYMENTS TO BASED UPON CLINICAL VOLUME, COMPLEXITY AND QUALITY MEASURES. | Explanation |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| EDWARD GEORGE | |||
| MCHC CEO SERVES AS MEMBER OF THE BOARD OF COMMUNITY HEALTH ACCESS NETWORK | 202926 | TRANSACTIONS INCLUDE PURCHASE OF IT SYSTEM: $102,381, SHARED IT SERVICES: $82,395, AND ANNUAL MEMBERSHIP DUES OF $18,150. | 0 |
| EDWARD GEORGE | |||
| MCHC CEO SERVES AS BOARD CHAIR OF BI-STATE PRIMARY CARE ASSOCIATION | 110196 | MCHC RECEIVES GRANT FUNDS PASSED THROUGH THIS ENTITY, WHICH WAS FORMED FOR ADVOCACY AND TECHNICAL ASSISTANCE FOR SIMILAR ORGANIZATIONS IN NH AND VT $102,733 AND PAID ANNUAL MEMBERSHIP DUES OF $7,463. | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | THE FORM 990 IS PROVIDED TO THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS AND ALL MEMBERS OF THE BOARD OF DIRECTORS FOR REVIEW AND COMMENT. | |
| THE CONFLICT OF INTEREST POLICY INCLUDES AN ANNUAL DISCLOSURE AND MONITORING PROCESS REGARDING EXTERNAL INTERESTS OF BOARD MEMBERS AND KEY MANAGEMENT THAT COULD GIVE RISE TO CONFLICTS. | FORM 990, PART VI, SECTION B, LINE 12C | |
| EXECUTIVE DIRECTOR COMPENSATION IS REVIEWED AND APPROVED BY THE EXECUTIVE COMMITTEE OF BOARD OF DIRECTORS. | FORM 990, PART VI, SECTION B, LINE 15A | |
| UPON REQUEST | FORM 990, PART VI, SECTION C, LINE 19 | |
| CHANGES IN NET ASSETS OR FUND BALANCES: | NET UNREALIZED GAINS ON INVESTMENTS: 19,382. | FORM 990, PART XI, LINE 5: |
| REASON FOR PUBLIC CHARITY STATUS | THE ORGANIZATION IS EXEMPT UNDER 170(B)(1)(A)(III), AS A HOSPITAL. THE ORGANIZATION OPERATES A FEDERALLY QUALIFIED HEALTH CENTER. THE HEALTH CENTER IS NOT REGISTERED WITH THE STATE OF NEW HAMPSHIRE AS A HOSPITAL. ACCORDINGLY NO SCHEDULE H IS ATTACHED. | SCHEDULE A, PART I |